Evidence map›Paper›PMID 42146818›Full record

ArticleAnnals of gastroenterological surgery2026

Mature Tertiary Lymphoid Structures Indicate Good Chemotherapy Response and Prognosis in Advanced Colorectal Cancer.

Nobuhiro Hosoi, Chika Komine, Gendensuren Dorjkhorloo, Takuya Shiraishi, Takuhisa Okada, Akihiko Sano, Makoto Sakai, Takehiko Yokobori, Ken Shirabe, Hiroshi Saeki

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. A simple MRI/PET-derived index predicts relapse-free survival after neoadjuvant chemoradiotherapy in locally advanced rectal cancer.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Nobuhiro HosoiDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.ORCID https://orcid.org/0009-0005-4381-4703
Chika KomineDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.
Gendensuren DorjkhorlooDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.
Takuya ShiraishiDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.ORCID https://orcid.org/0000-0003-3543-1874
Takuhisa OkadaDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.ORCID https://orcid.org/0000-0003-1564-6608
Akihiko SanoDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.ORCID https://orcid.org/0000-0002-9531-5157
Makoto SakaiDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.ORCID https://orcid.org/0000-0003-0860-3132
Takehiko YokoboriDivision of Integrated Oncology Research Gunma University, Initiative for Advanced Research (GIAR) Maebashi Japan.
Ken ShirabeDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.
Hiroshi SaekiDepartment of General Surgical Science Gunma University Graduate School of Medicine Maebashi Japan.ORCID https://orcid.org/0000-0001-7243-6960

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Tertiary lymphoid structures (TLS), clusters of immune cells including B and T cells, are involved in anti-tumor immunity and correlate with a favorable prognosis in several malignancies, but their association with systemic chemotherapy is unknown. We investigated the role of TLS as a biomarker for predicting chemotherapy efficacy in advanced colorectal cancer (CRC). Methods: We analyzed 78 CRC cases with metastatic or recurrent lesions, in which untreated resected primary tumors were available before chemotherapy. TLS maturity, defined by the presence of CD23 Results: Mature TLS-negative groups had poorer chemotherapy sensitivity, progression-free survival, and overall survival. Multivariate analysis confirmed TLS maturity as an independent predictor of both therapeutic response and survival outcomes in this cohort. Mature TLS was associated with higher CD3 Conclusion: Mature TLS may contribute to favorable chemotherapeutic efficacy through immune activity. TLS maturity in primary tumors may represent a novel biomarker for predicting systemic chemotherapy response and immune status across primary and metastatic sites in advanced CRC.

Indexed as

advanced colorectal cancerimmune cell infiltrationimmune statussystemic chemotherapytertiary lymphoid structures

Identifiers

PMID42146818
PMCPMC13178286

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.